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Home My WebLink About109420 HYDRO CONSTRUCTION CO INC - INSURANCE CERTIFICATE (25)ADM. 10/0/08 CERTIFICATE OF LIABILITY INSURANCE DATE8/08(MMADDNY) PRODUCER 1-303-534-4567 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION INA of Colorado, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1550 17th Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 600 Denver, CO 80202 INSURERS AFFORDING COVERAGE INSURED WSURERA: American Guarantee & Liab. (Zurich American Ins) Hydro Construction Company, Inc. INSURER B: American Guarantee & Liab. (Zurich N. American Ins) 301 East Lincoln Avenue INSURER C: Pinnacol Assurance _ Fort Collins, CO 80524 INSURER D: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION-LTIL LIMITS A GENERALLIABILITY CP0343758104 09/30/08 09/30/09 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE An one fire) $300,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE F OCCUR MED EXP (Any one person) $ 10,000 PERSONAL &ADV INJURY $ 1,000,000 X PD Ded:$5,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 17 POLICY X PRO- JFCT 51 LOC A AUTOMOBILE X LIABILITY ANY AUTO CP0343758104 09/30/08 09/30/09 COMBINED SINGLE LIMIT (Ea accident) $1, 000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG E EXCESS LIABILITY AUCS93964000 09/30/08 09/30/09 EACH OCCURRENCE $1,000,000 X 1 OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 $ DEDUCTIBLE $ X RETENTION $ 0 C WORKERS COMPENSATION AND 2091550 04/01/08 04/01/09 X WCSTATUIMT- OTH- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA_EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1, 000, 000 OTHER 5 S S DESCRIPTION OF OPERATIONS/LOCAnONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS City of Fort Collins P. 0. Box 580 Fort Collins, CO 80524 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE USA ACORD 25-S (7/97) crunderwood 10026878 O ACORD CORPORATION 1988 CORD10/O8/08 , CERTIFICATE OF LIABILITY INSURANCE DAT)DYV) AA—B/OB PRODUCER 1-303-534-4567 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION IMA of Colorado, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1550 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Suite 00 600 1street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suit Denver, CO 80202 INSURERS AFFORDING COVERAGE INSURED Hydro Construction Company, Inc. INSURERA:American Guarantee & Liab. (Zurich AmeriCdn Ina) 301 East Lincoln Avenue INSURER B:American Guarantee & Liab. (Zurich N. American Ins) Collins, CO 80524 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR NSfl TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY CP0343758104 09/30/08 09/30/09 EACH OCCURRENCE $ 1, 000,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $300,000 MED EXP Anyone person) $ 10,000 CLAIMS MADE L11 OCCUR X PD Ded:$5,000 PERSONAL &ADV INJURY $ 1, 000,000 GENERAL AGGREGATE $2, 000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO' X LOC PRODUCTS COMP/OP AGG $2,000,000 A AUTOMOBILE X LIABILITY ANY AUTO CP0343758104 09/30/08 09/30/09 COa BIKED SINGLE LIMIT $11000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X HIREDAUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ $ AUTO ONLY: ADS B LIABILITY OCCUR CLAIMS MADE AUC593964000 09/30/08 09/30/09 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 NXCESS $ DEDUCTIBLE RETENTION $0 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 2091550 04/01/08 04/01/09 X WC BTATU- FIR D T AV LIMIT E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1, 000, 000 E.L. DISEASE -POLICY LIMIT $1,000,000 OTHER s a a DESCRIPTION OF OPERATIONS/LOCATIONS EHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City Of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL PO BOX 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE S USA ACORD 25-S (7/97) crunderwood O ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ) ACOR.CERTIFICATE OF LIABILITY INSURANCE DATE8/08 YY) . 10/0/OB PRODUCER 1-303-534-4567 INA of Colorado, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1550 Suite 00 600 1Street Suit HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE Denver, CO 80202 INSURED Hydro Construction Company, Inc. INSURER A: American Guarantee & Liab. (Zurich American Ins) WSURER B: American Guarantee & Liab. (Zurich N. American Ina) 301 East Lincoln Avenue INSURER C:Pinnacol Assurance INSURER D: Fort Collins, CO 80524 INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY CP0343758104 09/30/08 09/30/09 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE O OCCUR FIRE DAMAGE (Any one fire) $ 3 0 0 , 000 MED EXP (Any one person) $ 10,000 X PERSONAL &ADV INJURY $ 1,000,000 PD Ded: $5, 000 GENERAL AGGREGATE $ 2,000,000 GEN'L ff AGGREGATE POLICY LIMIT APPLIES PER: X PRO- X LOC PRODUCTS - COMP/OP ASS $2,000,000 A AUTO X MOBILE LIABILITY ANY AUTO CP0343758104 09/30/08 09/30/09 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGO B EXCESS X LIABILITY OCCUR 171 CLAIMS MADE AUCS93964000 09/30/08 09/30/09 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1, 000, 000 DEDUCTIBLE X RETENTION $0 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 2091550 04/Ol/OS 04/Ol/09 X WC STMT OTH- E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 OTHER 5 S $ DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: Water/Wastewater Treatment and Site Infrastructure Design/Construction Contractor, P1007. City of Fort Collins Attn: Mr. James O'Neill II 215 North Mason Street, 2nd Floor SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Collins, CO 80524-0000 25-S(7/97) crunderw 10026864 AUTHORIZED REPRESENTATIVE USA [/ 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACOR M CERTIFICATE OF LIABILITY INSURANCE M/OD VY) 0/08 10/OB/OB PRODUCER 1-303-534-4567 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION INA of Colorado, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1550 17th Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 600 Denver, CO 80202 INSURERS AFFORDING COVERAGE INSURED Hydro Construction Company, Inc. INSURER A: American Guarantee & Liab. (Zurich American Ina) INSURER B:American Guarantee & List. (Zurich N. American Ins) 301 East Lincoln Avenue INSURER C: Pinnacol Assurance INSURER D: Fort Collins, CO 80524 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY CP0343758104 09/30/08 09/30/09 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one tire) $300,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE O OCCUR MED EXP (Any one parson) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 X PD Ded:$5,000 GENERAL AGGREGATE $ 2,000,000 GENT. AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 POLICY X PRP X LOG A AUTOMOBILE X LIABILITY ANY AUTO CP0343758104 09/30/08 09/30/09 COMBINED SINGLE LIMIT (Ea accident) $11000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accitlent $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: ADD D EXCESS LIABILITY AUC593964000 09/30/08 09/30/09 EACH OCCURRENCE $ 1,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 $ DEDUCTIBLE X $ RETENTION $ 0 C WORKERS COMPENSATION AND 2091550 04/01/08 04/01/09 X WC STATT- OTH- TORY S ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 OTHEfl 5 5 s DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION Re: DWRF - Replacement Program 2008 System Imp. - Phase 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL PO Box 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Fort Collins, CO 80522 USA AUTHORIZED REPRESENTATIVE ACORD 25-S (7197) crunderwood O ACORD CORPORATION 1988 10026875 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25•S IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ABM CERTIFICATE OF LIABILITY INSURANCE DATE(MMO10/08/08 D/YV) PRODUCER 1-303-534-4567 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION INA of Colorado, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1550 17th Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 600 Denver, Co 80202 INSURERS AFFORDING COVERAGE INSURED Hydro Construction Company, Inc. INSURER A: American Guarantee & List. (Zurich American Ins) INSURER B: American Guarantee & Liab. (Zurich N. American Ins) 301 East Lincoln Avenue INSURER C:Pinnacol Assurance INSURER D: Fort Collins, CO 80524 INSURER E: COVFRAGFS THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVE POLICY EXPIRATION_LIEL LIMITS A GENERAL LIABILITY CP0343758104 09/30/08 09/30/09 EACH OCCURRENCE $1,000,000 FIREDAMAGE(Any one fire) $300,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE T OCCUR MED EXP (Any one person) $10,000 PERSONAL &ADV INJURY $1,000,000 X PD Ded:$5,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 POLICY X PRO- JEcT X LOC A AUTOMOBILE X LIABILITY ANY AUTO CP0343758104 09/30/08 09/30/09 COMBINED SINGLE OMIT (Ea accident) 11000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GAR AGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGO D EXCESS LIABILITY AUC593964000 09/30/08 09/30/09 EACH OCCURRENCE $1, 000,000 X OCCUR 1:1CLAIMS MADE AGGREGATE $ 1, 000,000 $ DEDUCTIBLE $ X RETENTION $0 C WORKERS COMPENSATION AND EMPLOVERS' LIABILITY 2091550 04/01/08 04/01/09 X WC STATU- OOTBH- E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYE $1, 000, 000 E.L. DISEASE- POLICY LIMIT $ 1,000,000 OTHER s s s DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: WTF 2008 General System Improvements 7 Phase I 7 Work order # H-WTF-2008-2. City of Fort Collins is included as Additional Insured on the General Liability Policy if required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. City of Fort Collins PO Box 580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO $HALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Fort Collins, CO 80522-0000 USA crunderwood AUTHORIZED REPRESENTATIVE I � O ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD M CERTIFICATE OF LIABILITY INSURANCE 0/08 M/ODYV) AC>� 1o/Oa/oe ,PRODUCER 1-303-534-4567 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION IMA of Colorado, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1550 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Suite 00 600 1Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suit Denver, CO 80202 INSURERS AFFORDING COVERAGE INSURED Hydro Construction Company, Inc. 301 East Lincoln Avenue Fort Collins, CO 80524 r V Y Gl1MUCJ INSURERS: American Guarantee & Liab. (Zurich N. American Ins) INSURER C: Pinnacol Assurance THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IITR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GENERAL LIABILITY CP0343758104 09/30/08 09/30/09 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (An one fire) $300,000 VIED EXP(Any one parson) $10,000 CLAIMS MADE OOCCUR X PD Ded:$5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE 11 POLICY LIMIT APPLIES PER: X PRO- X LOC PRODUCTS - COMP/OP AGG $2,000,000 A AUTO X MOBILE LIABILITY ANY AUTO CP0343758104 09/30/08 09/30/09 COMBINED SINGLE LIMIT (Ea accident) $1, 000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X HIRED AUTOS NON -OWNED AUTOS BODILYINJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO S AUTO ONLY: AGG e EXCESS LIABILITY X OCCUR1�1 CLAIMS MADE AUC593964000 09/30/08 09/30/09 EACH OCCURRENCE $1,000, 000 AGGREGATE $ 1, 000, 000 S XIDEDUCTIBLE RETENTION $0 C WORKERS COMPON AND EMPLOYERS' LIABILITY 2091550 04/01/08 04/1/09 OTH- E.L EACH ACCIDENT $ 1,000,000 F. L. DISEASE - EA EMPLOYE $1, 000, 000 E.L. DISEASE -POLICY LIMIT I $1, 000, 000 OTHER 5 E $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS City of Fort Collins is included as Additional Insured on the General Liability Policy if required by written contract or agreement and with respect to work performed by Insured subject to the policy terms and conditions. of Fort Collins PO Box 580 Fort Collins, CO 80522-0000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE S i USA crunderwood 10026857 F" IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsedA statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s.). If SUBROGATION IS WAIVED, subject to the terms and conditions of the require an endorsement. A statement on this certificate does not confer rights t the Policy, certain Policies may holder in lieu of such endorsement(s). rig certificate DISCLAIMER The Certificate of Insurance on the reverse side the issuing insurers , of this form does not constitute a contract between affirmatively in ne () authorized representative or galively amend, extend or alter theyroducer and the coverage afforded by certificatehp holder, nor does it y the policies listed thereon. E ACORQ. CERTIFICATE OF LIABILITY INSURANCE D 08/0/DDVV) 10/08/OS PRODUCER 1-303-534-4567 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION INA of Colorado, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1550 17th street Suite 600 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Denver, CO 80202 INSURERS AFFORDING COVERAGE INSURED Hydro Construction Company, Inc. INSURER A: American Guarantee & Liab. (Zurich American Ina) INSURER B: American Guarantee & Liab. (Zurich N. American Ins) 301 East Lincoln Avenue INSURER C:PinttaCol Assurance INSURER D: Fort Collins, CO 80524 INSURER E: rKwmemnxy THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSfl TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE O OCCUR PD Ded:$5,000 CP0343758104 09/30/08 09/30/09 EACH OCCURRENCE $ 1,000,000 ERE DAMAGE(An one fire) $300,000 MED EXP (Anyone person) $ 10,000 X PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE POLICY LIMIT APPLIES PER: r X PRO X LOD PRODUCTS - COMP/OP AGG $2,000,000 A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CP0343758104 09/30/06 09/30/09 COMBINED SINGLE LIMIT (Ea accident) $1, 000,000 BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: qGG S § B EXCESS X LIABILITY OCCUR 1-1 CLAIMS MADE DEDUCTIBLE RETENTION $0 AUC593964000 09/30/08 09/30/09 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 X $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 2091550 04/01/08 04/01/09 OTH- X INK" E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 OTHER 5 5 s DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL PO Box 580 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Fort Collins, CO 80522 AUTHORIZED REPRESENTATIVE S USA C/ ACORD 25-8 (7/97) crunderwood [a ACORD CORPORATION IQAA ivvioaeo A- CORD. CERTIFICATE OF LIABILITY INSURANCE DATE8/08 NY) 10/0/08 PRODUCER 1-303-534-4567 IMA Of Colorado, Inc. 1550 17th Street Suite 600 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE Denver, CO 80202 INSURED Hydro Construction Company, Inc. INSURER A: American Guarantee & Liab. (Zurich American Ins) INSURER B: American Guarantee & Liab. (Zurich N. American Ins) 301 East Lincoln Avenue INSURER C: Pinnacol Assurance INSURER D: Fort Collins, CO 80524 INSURER E: �nvronr_Lro THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBERDATE POLICY EFFECTIVE POLICY EXP,MWIRATION LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE [flOCCUR PD Ded: $5, 000 CP0343758104 09/30/08 09/30/09 EACH OCCURRENCE $ 1,000,000 FIREDAMAGE(An ooelire) $300,000 MED EXP(Any one person) $10,000 X PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE POLICY LIMIT APPLIES PER: X PRO- X LOC PRODUCTS - COMP/OP AGO $2, 000, 000 A AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS EDULED AUTOS ED AUTOS -OWNED AUTOS CP0343758104 09/30/08 09/30/09 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per person) $ IX BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY -EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ B EXCESS LIABILITY X OCCUR CLAIMS MADE XIDEDUCTIBLE RETENTION $0 AUC593964000 09/30/08 09/30/09 EACH OCCURRENCE $1,000,000 AGGREGATE $ 1,000,000 $ $ C EMPLOYSCOMPENSATION AND EMPLOYERS'LIABILITY OTHER 2091550 04/01/08 :04/01/09 X WC STATU- T E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $1,000,000 E.L. DISEASE - POLICY LIMIT $ 1, 000, 000 S S S DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: Mulberry Intermediate Replacement Project Demolition Phase. City of Fort Collins Box 580 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Fort ColliI OR, CO 80522-0000 AUTHORIZED REPRESENTATIVE S USA [/ ACORD 25-S (7197) crunderwood i nn ocRai G IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.